Neoplasm of the Limbus conjunctiva / by Joseph Schneider.

  • Schneider, Joseph, active 1892.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Neoplasm of the Limbus conjunctiva / by Joseph Schneider. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    4/8 (page 4)
    among those of a malignant character is the epithelioma: beginning with a small prominence, flat, spreading out (flach- enartig) similar to a pannus caused by trachoma, accompanied with pain, and easily mistaken for a phlyctenula ; such a case I have reported in Grafe's Archives, Vol. 23: II. sarcoma and melanotic-sarcoma, forming late in life, spongy, dark colored, often very vascular, having a small root or base, not spread- ing at the root but growing very rapidly outwards, at times reaching enormous dimensions. Among those of a non-malignant character, having their origin at the limbus are: I. Granuloma, formed wholly from granular tissue (granula- tionsgeschwiilste), fungus-like, bleeding readily, without any conjunctival covering, appearing often after strabismus opera- tions, penetrating foreign substances, and at times assuming large proportions. II. Dermoid tumors, flat, reddish-yellow tumors but slightly compressible, surface similar to epidermis studded with hairs and immovably attached to the corneo-scleral junction. When we take into consideration the age of the patient, the rapidity of the tumor's growth, we are wont to classify it among tumors malignant in character ; but taking into con- sideration the consistency of its parts, its compressibility, non-pigmentation, lack of pain; these facts prohibit us from classifying it among any of the above mentioned tumors but suggest that it belongs more appropriately with the teratoma of Virchow, On May 25th, 1891, I removed the tumor in the following manner. After thoroughly anesthetizing the eye ball with cocaine, I removed the firm connection with an iridectomy knife at the corneo-sclero junction; from this attachment to the caruncle, by means of a scissors, the tumor was easily re- moved from its subconjunctival attachments. The bleeding was very free, and after it was checked, I scraped the suspi- cious spots with a sharp spoon, loosened the conjunctiva as far as possible in all directions, stitched its edges over the